Rush Medical College, Chicago, Illinois.
Rush University Medical Center, Chicago, Illinois.
J Surg Educ. 2018 May-Jun;75(3):697-701. doi: 10.1016/j.jsurg.2017.09.029. Epub 2017 Oct 24.
There exists an acute need to recruit and train general surgeons for rural communities. To assist medical students interested in rural surgery, the American College of Surgeons (ACS) website lists general surgery residencies, which are tailored to train the rural surgeon by providing exposure to endoscopy, gynecology, urology, orthopedics, and otolaryngology. Another available reference is the American Medical Association Fellowship and Residency Electronic Database (FREIDA). FREIDA allows programs to indicate availability of a rural training scheme. This is an effort to identify programs which demonstrate a commitment to training rural surgeons and evaluate accessibility of this information to medical students.
Each ACGME general surgery residency program in the United States and Canada received an electronic survey. They were queried on commitment to training rural surgeons and their ability to provide 3 to 12 months of subspecialty training.
Of the 261 programs surveyed, 52 (19.9%) responses were obtained; 11 had established rural tracks and 15 were willing to customize a program. We identified 14 additional rural training programs not identified by either the ACS website or FREIDA. In total, 44 programs identified by ACS, FREIDA, and our survey indicate they can accommodate the rural surgical resident.
For a medical student interested in rural surgery, several obstacles must be overcome to find the appropriate residency program. A complete and updated list of established tracks or customizable training schemes does not exist. Review of the ACS website and FREIDA online in addition to our survey has identified 44 of 261 (16.9%) ACGME accredited programs either with an existing rural surgical track or willing to customize their program accommodate a resident. To facilitate the recruitment of medical students into rural surgery, we support the maintenance of a complete and routinely updated list that identifies available training programs.
农村地区急需招聘和培训普通外科医生。为了帮助对农村外科感兴趣的医学生，美国外科医师学院（ACS）的网站列出了普通外科住院医师培训计划，这些计划旨在通过提供内窥镜、妇科、泌尿科、骨科和耳鼻喉科的培训来培养农村外科医生。另一个可用的参考是美国医学协会奖学金和住院医师电子数据库（FREIDA）。FREIDA 允许计划表明农村培训计划的可用性。这是努力确定表现出培训农村外科医生承诺的计划，并评估该信息对医学生的可访问性。
美国和加拿大的每个 ACGME 普通外科住院医师培训计划都收到了一份电子调查。他们被询问是否致力于培训农村外科医生以及他们提供 3 至 12 个月专业培训的能力。
在接受调查的 261 个计划中，获得了 52 个（19.9%）回复；11 个已建立农村轨道，15 个愿意定制计划。我们确定了另外 14 个 ACS 网站或 FREIDA 未识别的农村培训计划。总共，44 个计划由 ACS、FREIDA 和我们的调查确定，他们可以容纳农村外科住院医师。
对于对农村手术感兴趣的医学生来说，必须克服几个障碍才能找到合适的住院医师培训计划。不存在完整和最新的既定轨道或可定制培训计划清单。除了我们的调查外，对 ACS 网站和 FREIDA 在线的审查已经确定了 261 个 ACGME 认可计划中的 44 个计划，这些计划要么有现有的农村外科轨道，要么愿意定制其计划以容纳住院医师。为了促进农村外科医生招聘医学生，我们支持维护一个完整且定期更新的清单，以确定可用的培训计划。
